Uncovers the truth behind the ideas, struggles, and eventually success of Black and Puerto Rican Nationalists regarding key feminist issues of the 1960s, 1970s, and 1980s While most people believe that the movement to secure voluntary reproductive control for women centered solely on abortion rights, for many women abortion was not the only, or even primary, focus. Jennifer Nelson tells the story of the feminist struggle for legal abortion and reproductive rights in the 1960s, 1970s, and early 1980s through the (...) particular contributions of women of color. She explores the relationship between second-wave feminists, who were concerned with a woman's right to choose, Black and Puerto Rican Nationalists, who were concerned that Black and Puerto Rican women have as many children as possible “for the revolution,” and women of color themselves, who negotiated between them. Contrary to popular belief, Nelson shows that women of color were able to successfully remake the mainstream women's liberation and abortion rights movements by appropriating select aspects of Black Nationalist politics—including addressing sterilization abuse, access to affordable childcare and healthcare, and ways to raise children out of poverty—for feminist discourse. (shrink)

This paper is based on the findings from a study in which social workers in healthcare settings were asked for their perspectives on cultural and racial difference as these apply to their practice with racialized clients. In examining the varied practice philosophies and approaches they employ, we find that older practice models based on problematized knowledge about racialized Others are being, alternately, reinstated and contested. In grappling with how to practise, participants describe approaches that, in many cases, effectively individualize clients (...) and ignore hierarchies and systems of domination. Following Sarah Ahmed's work on ethical encounters (Strange Encounters, Routledge, London, 2000), we argue for a socially and historically informed consideration of power relations as they shape professional practice. (shrink)

The emergency department (ED) serves as the primary gateway for acute care and the source of health care of last resort. Emergency physicians are commonly expected to rapidly assess and treat patients with a variety of life–threatening conditions. However, patients do refuse recommended therapy, even when the consequences are significant morbidity and even mortality. This raises the ethical dilemma of how emergency physicians and ED staff can rapidly determine whether patient refusal of treatment recommendations is based on intact decision–making capacity (...) and how to respond in an appropriate manner when the declining of necessary care by the patient is lacking a basis in informed judgment. This article presents a case that illustrates the ethical tensions raised by the refusal of life–sustaining care in the ED and how such situations can be approached in an ethically appropriate manner. (shrink)